Organization
AMY HAMILTON
Active
Organization
AMY HAMILTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY L HAMILTON PSYD, LPC (CLINICAL COORDINATOR)
(404) 973-5602
Entity
Organization
Contact information
Practice address
4255 WADE GREEN RD NW, SUITE 414, KENNESAW, GA 30144-1762
(678) 213-2194
(678) 213-2215
Mailing address
4255 WADE GREEN RD NW, SUITE 414, KENNESAW, GA 30144-1762
(678) 213-2194
(678) 213-2215
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC004110
GA
Other
Enumeration date
09/04/2008
Last updated
12/19/2012
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